Skilled nursing facility · CMS certification number 155853
PARK PLACE AT ST JOHN
SAINT JOHN, Indiana
This certification number is not in CMS’s current Care Compare Provider Information file, processed on 1 August 2026. Its Medicare enrollment, PARK PLACE CHRISTIAN COMMUNITY OF ST. JOHN, INC. (enrollment ID O20160824002249), is not listed in the CMS enrollment file dated 1 August 2026.
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 7 August 2024 — a reporting period of 219 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 12 March 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,574,416 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $511,970 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,062,446 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,297,681 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,235,235 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,235,225 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,235,225 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 11,000 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 848 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 9,178 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 10,026 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 27 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 32 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 59 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 169.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405085, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 September 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,285,370 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,602,310 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,683,060 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,183,934 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,500,874 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$1,500,874 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,500,875 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,807 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 379 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 44.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1394369, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 July 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,550,960 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,991,120 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,559,840 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,747,289 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,187,449 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$1,187,449 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,187,449 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,262 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 455 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 37.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1390672, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,636,261 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,800,407 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,835,854 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,159,745 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,323,891 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $83,152 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,240,739 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,240,739 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,759 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 570 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 29.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334389, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 October 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,921,430 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,327,536 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,593,894 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,778,574 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,184,680 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,126,951 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$57,729 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$57,729 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,118 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 427 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 37.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1302450, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 December 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,794,274 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,475,335 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,318,939 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,624,380 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,305,441 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,076 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,302,365 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,302,365 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,780 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 511 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 32.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1275168, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 August 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,253,445 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,001,861 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,251,584 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,459,632 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,208,048 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $70 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,207,978 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,207,978 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,781 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 295 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 43.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1241218, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,605,613 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $919,146 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,686,467 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,771,256 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,084,789 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$2,084,789 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,084,789 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,156 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 177 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 46.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1202638, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 3 November 2016 to 31 December 2016 — a reporting period of 58 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 10 August 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $236,911 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,111 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $233,800 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $626,557 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$392,757 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$392,757 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$392,757 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 498 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 6 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 76.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1172680, read from the public cost report file SNF10FY2017.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
Not yet extracted for this facility.
Medicare enrollment
Not yet extracted for this facility.
Changes in ownership
- 1 October 2024: PATRICIA L JABAAY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: KYLE YONKER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: WILLIAM ZANDSTRA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: EMILY MCMASTER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: KAREN HUIZENGA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: DAVID TIEMERSMA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: SHERYL HAMMER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: DAVID VOSS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: BARRY VANDERGENUGTEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: ROGER BOEREMA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: JACOB J GROENEWOLD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: EDWARD DAMSTRA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: THEODORE EARLE FEENSTRA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: PAUL KATS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: PAUL BUIKEMA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: DARREN VAN ESSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: JOHANNA ZANDSTRA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: JOHANNA ZANDSTRA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: KENNETH ALAN HOVING no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 15 March 2023: KEN SCHOON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: ROBERT WORKMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: JUSTIN KATS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: DON VAN DYK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: TIM BREEMS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: RICH VANHATTEM no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: NANCY VANDRUNEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: CAL TAMELING no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: PATRICIA L JABAAY appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: KYLE YONKER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: WILLIAM ZANDSTRA appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: EMILY MCMASTER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: KAREN HUIZENGA appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: DAVID TIEMERSMA appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: SHERYL HAMMER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: DAVID VOSS appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: ROGER BOEREMA appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: JACOB J GROENEWOLD appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: EDWARD DAMSTRA appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: THEODORE EARLE FEENSTRA appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: PAUL KATS appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: PAUL BUIKEMA appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: DARREN VAN ESSEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: KENNETH ALAN HOVING appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
Recent changes on this record
- 12 March 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 October 2024: PATRICIA L JABAAY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: KYLE YONKER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: WILLIAM ZANDSTRA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: EMILY MCMASTER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: KAREN HUIZENGA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: DAVID TIEMERSMA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: SHERYL HAMMER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: DAVID VOSS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: BARRY VANDERGENUGTEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: ROGER BOEREMA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: JACOB J GROENEWOLD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: EDWARD DAMSTRA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: THEODORE EARLE FEENSTRA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: PAUL KATS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: PAUL BUIKEMA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: DARREN VAN ESSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: JOHANNA ZANDSTRA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: JOHANNA ZANDSTRA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: KENNETH ALAN HOVING no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 10 September 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 31 July 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 15 March 2023: KEN SCHOON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: ROBERT WORKMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: JUSTIN KATS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: DON VAN DYK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: TIM BREEMS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: RICH VANHATTEM no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: NANCY VANDRUNEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: CAL TAMELING no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: PATRICIA L JABAAY appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: KYLE YONKER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: WILLIAM ZANDSTRA appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: EMILY MCMASTER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: KAREN HUIZENGA appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: DAVID TIEMERSMA appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: SHERYL HAMMER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: DAVID VOSS appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: ROGER BOEREMA appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
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Get an email when this record changes
One email a day naming what moved on PARK PLACE AT ST JOHN: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 12 March 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for PARK PLACE AT ST JOHN
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Indiana at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 155853.